Kailashrx LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KAILASHRX LLC

Doing business as

COMMUNITY PHARMACY OF DELTONA

Practice address

1240 Providence Blvd
Unit 1 & 2
Deltona, FL 32725-7352

Phone

(386) 259-5435

Fax

(386) 259-9582

NPI assigned

Mar 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jayesh Mehta, MPHARM, RPHNPI 1598217622

Title

Owner/ Pharmacy Manager

Phone

(386) 259-5435

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COMMUNITY PHARMACY OF DELTONA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Community Pharmacy of Deltona2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kailashrx LLC

  • Long Term Care Pharmacy
  • Deltona, FL
  • NPI 1205672359
  NPD tax ID

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayesh Mehta, MPHARM, RPH

  • Pharmacist
  • Deltona, FL
  • NPI 1598217622
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1922635424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 PROVIDENCE BLVD",
            "address_2": "UNIT 1 & 2",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257352",
            "telephone_number": "386-259-5435",
            "fax_number": "386-259-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 PROVIDENCE BLVD",
            "address_2": "UNIT 1 & 2",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257352",
            "telephone_number": "386-259-5435",
            "fax_number": "386-259-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILASHRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "OWNER/ PHARMACY MANAGER",
        "authorized_official_telephone_number": "386-259-5435",
        "authorized_official_credential": "MPHARM, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112450100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PHARMACY OF DELTONA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY PHARMACY OF DELTONA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bobbi Jozsa
• Amanda Balfour Grady Juliano, OTR/L
• K & R LLC
• Kadia Medical, LLC
• Kailashrx LLC
• Michael S Kamel, RPH
• Jyoti Kansal, DDS
• Joy Carissa Keckler, COTA
• Bruce W Kelly, RPH
• Kellys Family Healthcare-NP in Family Health, PLLC

• Community/Retail Pharmacy in Deltona, FL
• Providers in Deltona, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.